Key result
EV-A71 capsid protein VP1 disrupted the blood-brain barrier by reducing claudin-5 and increased the expression of the virus receptor vimentin on brain endothelial cells.
Why the study?
EV-A71 is the major cause of severe HFMD and nervous system diseases, and capsid protein VP1 mediates attachment, but its role in blood-brain barrier permeability was unclear.
p-value: p=<0.05
EV-A71 capsid protein VP1 disrupts the blood-brain barrier and increases virus receptor vimentin expression, potentially facilitating CNS infection.
Enterovirus A71 (EV-A71) is the major cause of severe hand-foot-and-mouth diseases (HFMD), especially encephalitis and other nervous system diseases. EV-A71 capsid protein VP1 mediates virus attachment and is the important virulence factor in the EV-A71pathogenesis. In this study, we explored the roles of VP1 in the permeability of blood-brain barrier (BBB). Sera albumin, Evans blue, and dextran leaked into brain parenchyma of the 1-week-old C57BL/6J mice intracranially injected with VP1 recombinant protein. VP1 also increased the permeability of the brain endothelial cells monolayer, an in vitro BBB model. Tight junction protein claudin-5 was reduced in the brain tissues or brain endothelial cells treated with VP1. In contrast, VP1 increased the expression of virus receptor vimentin, which could be blocked with VP1 neutralization antibody. Vimentin expression in the VP1-treated brain endothelial cells was regulated by TGF-β/Smad-3 and NF-κB signal pathways. Moreover, vimentin over-expression was accompanied with compromised BBB. From these studies, we conclude that EV-A71 virus capsid protein VP1 disrupted BBB and increased virus receptor vimentin, which both may contribute to the virus entrance into brain and EV-A71 CNS infection.
No takes yet. Share an insight, caveat, or question.
Wang et al. (2019) studied Enterovirus A71 (EV-A71) central nervous system infection (n=24). EV-A71 VP1 recombinant protein vs. Normal saline or blank control was evaluated on Blood-brain barrier permeability (leakage of albumin, Evans blue, and dextran) and vimentin expression (p=<0.05). EV-A71 capsid protein VP1 disrupted the blood-brain barrier by reducing claudin-5 and increased the expression of the virus receptor vimentin on brain endothelial cells.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: